How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a school-age child who was involved in a motor vehicle crash.

Exhibits

Complete the following sentence by using the list of options.

The child is at highest risk for developing

evidenced by the client’s .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.

Rationale for incorrect options:

Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.

Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.

Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is ["84"]

Explanation

To determine the minimum dose for this child based on the reference safe dose range, follow these steps:

Reference safe dose range: Minimum dose = 7 mg/kg/day.

Child's weight: 12 kg.

Calculate the minimum dose:

Minimumdose=7 mg×12 kg=84 mg/day

Correct Answer is D

Explanation

A. Requires immediate assessment by a medical provider. – Incorrect. Most cases can be managed at home with barrier creams and frequent diaper changes.

B. Is always associated with an infection. – Incorrect. While infections can occur, diaper dermatitis is often due to moisture and irritation.

C. Causes significant long-term impacts. – Incorrect. Diaper rash typically resolves quickly with proper care.

D. Responds to prompt treatment. – Correct. Keeping the area clean, dry, and applying barrier ointments effectively treats diaper dermatitis.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register